Lifeguard Air Ambulance Schedule a Flight Now

Committed to providing safe, caring, and cost-effective world-wide air medical transport

Our Flight Coordinators
are available
24/7 - 365 Days a Year

Please Call
800-635-8583 or
503-640-2927
to speak directly to a
Flight Coordinator

SUBMIT with FORM

Patient's name, Your name, and relationship to patient
Best way to contact you
Patient's location now. Include City, State/Province, Country and
hospital
Destination. Where the patient needs to go
Include City, State/Province, Country, and hospital
Desired date of departure and/or arrival
Physician in charge of the patient now, with contact information, if
possible
Destination hospital and receiving physician, if known
Best language with which to communicate with your hospital now
Your medical insurance data, if known, and Passport information
if applicable
Whether it is desired that a spouse or designated support person
fly with the patient in the transport aircraft

EmailMeForm

Name, First and Last *
Best Phone Number to Reach You *
### - ### - ####
Your Email Address *
Emergency Contact Person
Emergency Contact Person's Phone
Name of Physician if Known
First Last
Type of Health Insurance If Known

None or Other

HMO

PPO

POS

IPO

EPO
Please provide any details of your request

Please Submit and a Flight Coordinator will Contact You shortly